Improving communication difficulties

professional Speech Pathology on the Central Coast

Vanessa Sciacca Adult Speech Pathology specialises in helping adults with communication difficulties who have a range of medical conditions and injuries. All therapy and services delivered come from current evidence-based research. This means you can always expect the most up-to-date therapy techniques and practices that are effective. 

helping you meet your communication goals

Therapy sessions are tailored to meet the specific needs of each client, and Vanessa will work at your pace, helping you to achieve your communication goals. These are different for every client, and may involve finding the right words when you speak, planning what you’re going to say, making your speech sound clearer or improving your voice production. Everyone is different, and your goals will differ depending on your condition.

Communication difficulties can occur for various reasons and may be the result of acquired medical conditions or derive from trauma to the brain.

As a result, communication difficulties can vary widely, and Vanessa Sciacca Adult Speech Pathology treats each case with individual attention and not a one-size-fits-all approach.

At Vanessa Sciacca Adult Speech Pathology, computer-based therapy and iPad apps are used as part of therapy when appropriate and clients can continue using these at home to assist treatment.

Telehealth is also available. This means that effective treatments can be carried out using video meetings that are secure so you can still access therapy while in isolation.  This can also be essential if you are someone living in a rural area who can’t access a Speech Pathologist, or just to provide some extra therapy.


Following a stroke, it is common to be left with communication difficulties. You may have aphasia, meaning that you are having difficulty with the use of language. Dyspraxia may also occur where motor planning for speech is affected. If you dysarthria, you will notice changes to your speech and how clear you sound. 

Stroke can also result in cognitive changes, and may affect the person’s memory and thinking. 

Traumatic brain injury

Following a traumatic brain injury, a person may have cognitive communication changes which can make it hard to follow the ‘social rules’ for conversations and express yourself the way you want to. Speech difficulties can also result, with dysarthria disrupting the ability to form the movements necessary for speaking. Swallowing changes may also occur. 

Voice disorders

Difficulties with the voice can be frustrating and challenging. Your voice may fatigue over the day or you may feel as if you have to strain to produce voice. An ENT assessment may have found nodules or muscle tension.  Teachers, lecturers, instructors and those who use their voices frequently, can experience vocal strain that may result in time off work .

Parkinson's disease

Speech and voice difficulties arising from Parkinson’s can be successfully treated using effective treatments developed especially for people who are diagnosed with Parkinson’s disease.

Progressive neurological conditions

If you have been diagnosed with MS, MND, Huntington’s disease or a similar condition you may be experiencing speech or swallowing difficulties or problems with saliva management. Treatment is available to address your concerns. 

Primary Progressive Aphasia

This is an area of Speech Pathology which Vanessa has a strong interest in and provides specialised assessment and treatment. Various language and speech difficulties arise from primary progressive aphasia, with treatment tailored to suit your individual needs.


Patients with dementia are likely to have swallowing problems and see changes in their communication and thinking abilities. Our wholistic approach can help you and your family address many of these concerns. 
conversations between friends
man reading speech report


Various forms of disabilities  may result in swallowing, speech and communication difficulties. We are NDIS registered so services are available to support your goals. 

It may be difficult to eat and drink a regular diet or fluids.

A comprehensive assessment and a personalised Mealtime Management plan can be helpful to outline how to support someone to be safe when eating and drinking. We assess clients in their own home so they are at ease with the process. 

Alternative and Augmentative Communication devices (AAC) may be needed to help support communication, whether it is something low cost or high tech. 

Therapy may be indicated to improve speech clarity, communication skills or to focus on social skills.

At Vanessa Sciacca Adult Speech Pathology, we assess someone from the point of view of their strengths.

Your goal for getting on with your best, most independent life is our focus. 

Telehealth is also available, so therapy can be carried out using secure video calls. It can be useful for people living in rural areas who can’t access a Speech Pathologist, or to provide some extra therapy.

Our Services


We can help you achieve your independence in communication and participate fully in conversations.

Swallowing Difficulties

Comprehensive assessment and a tailored management plan for swallowing problems to improve your quality of life and enjoyment of food and fluids.

Parkinson's disease

Do you have speech and voice changes from your Parkinson’s disease? Do you want to control saliva and your improve swallowing difficulties? Find out about proven and effective treatments.

Voice disorders

Brief sessions of voice therapy with an experienced therapist can make a significant difference to your voice quality and allow you to enjoy communicating again with a strong voice.

Traumatic brain injury

Following a brain injury, you may have experienced slurred speech, communication problems, cognitive (thinking) difficulties or challenges with social skills for home, community and work that are affecting your ability to return to your previous life.


Word finding difficulties, unclear speech, reading, writing/spelling and the ability to express yourself can be improved with targeted therapy that is focused on your goals combined with the support of your family.

Contact us today to find out more about our speech pathology services on the Central Coast.​